HomeMy WebLinkAbout202.007 - Medical Emergencies
Fresno City Fire Department
200 Standard Operating Procedures Manual
SECTION 202.007 MEDICAL EMERGENCIES
PURPOSE
The purpose of this policy is to provide, to the greatest extent possible, a strategic
plan that will ensure an effective system for scene management at large-scale medical
emergencies.
APPLICATION
This policy is to be used in the following situations:
1. Fire prevention, fire control, and hazard control
2. Rescue/extrication
3. Triage
4. Pre-hospital stabilization/care
5. Transportation
6. Traffic control
OPERATIONAL POLICY
This policy is to be used in conjunction with Standard Operating Procedures Manual ,
Section 208.002, Department Response Procedures.
OPERATIONAL GUIDELINE
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Effective Date: October 2007 Kevin Reynolds, Captain Current Revision Date: 09/09/2022 Section 202.007
Next Revision (2) Date: 09/09/2025 Page 1 of 5
PROCESS
TYPICAL RESPONSE ASSIGNMENTS
Type of Incident Response Assignment
General Medical -Aid Incidents One (1) or more Engine Companies and/or TruckCompanies
Motor Vehicle Accidents (MVA)
Any MVA with less than five (5) patients One (1) Engine or Truck
Any MVA with five (5) or more patients Two (2) Engines or Trucks and one (1) BC
Any MVA with a rollover or pin in One (1) Engine, one (1) Truck, and one (1) BC
Any MVA with multiple vehicles and rollover
or pin in Two (2) Engines, one (1) Truck, and one (1) BC
COMMAND STRUCTURE
1.Incident Commander: The first officer to arrive at the scene is to assume
command of the incident and be the incident commander until relieved by a
higher ranking officer.
2.Emergency M edical Services (EMS) Medical Supervisor: The paramedic on
the first-paramedic unit to arrive at the scene is assigned the role and
responsibility of EMS medical supervisor.
Command Responsibilities
1.Incident Commander: The incident commander is to have responsibility for
overall direction of the incident. They are to establish a c ommand post at the
position and assume responsibility for:
a.Fire prevention, fire control, and hazard control.
b.Management of all resources, including private EMS personnel.
c.Communications/TAC frequencies.
d.Rescue/extrication.
e.Establishment of special functions, i.e., vehicle staging, resource control,
traffic/crowd control, etc.
Effective Date: October 2007 Kevin Reynolds, Captain
Current Revision Date: 09/09/2022 Section 202.007
Next Revision (2) Date: 09/09/2025 Page 2 of 5
2. EMS Medical Supervisor : The EMS m edical supervisor is to report directly to
the incident commander. The EMS m edical supervisor takes a position at or
near the incident command post and is responsible for coordination and
direction of all medical-related activities. The EMS m edical supervisor is a
certified paramedic.
The EMS m edical supervisor establishes and directs medical activities in
accordance with procedures established by the Fresno County EMS Division.
These activities include, but are not limited to, triage, assignment of medical
personnel to patients, medical communications, treatment, and transportation
of patients.
Requests for additional resources are made through the incident c ommander.
First Company
Upon arrival, the officer of the first-arriving company is to:
1. Assume the role of incident commander (see Command Structure).
2. Report arrival at-scene and determine magnitude of the situation.
3. Consider need for additional resources or cancel unneeded companies.
4. Direct initial rescue and/or triage efforts.
5. Communicate with and direct incoming companies.
6. Establish a c ommand post .
Additional Companies
Unless otherwise directed, officers of additional companies are to stage apparatus
well clear of the incident site and report to the incident c ommander for instructions and
be prepared to affect one or more of the following:
1. Assume role of incident c ommander (see Command Structure).
2. Assist or initiate rescue or extrication of victims.
3. Assist or initiate triage.
Effective Date: October 2007 Kevin Reynolds, Captain
Current Revision Date: 09/09/2022 Section 202.007
Next Revision (2) Date: 09/09/2025 Page 3 of 5
4. Assist or initiate pre-hospital treatment.
5. Assist preparation of victim(s) for transportation.
6. Effect fire control or hazard control measures as appropriate.
Chief Officer
Upon arrival, the responding officer is to:
1. Consult with the incident c ommander regarding status of incident.
2. Assume overall command of the incident.
3. Redirect strategy and tactics as required.
Medical Incidents
1. When information is received from the Communications Center or on-scene
civilians regarding potential sick, injured, or deceased persons inside of
secured properties and forced entry becomes necessary, common sense and
sound judgment are to be used.
a. After all other alternatives are exhausted and the decision to proceed with
forcible entry is made, extreme caution is to be exercised due to the
potential for a violent reaction by inhabitants.
b. Communications Center is to be notified of the forced entry and the
appropriate law -enforcement agency requested to respond for the purpose
of scene security and property protection.
c. Once property security has been breached, every attempt is to be made to
ensure the safe-keeping of the property until a law -enforcement
representative arrives and relieves the Department of property
responsibility.
2. All multi-victim medical incidents are handled in accordance with the
procedures set forth in Standard Operating Procedures Manual, Section
208.002, Department Response Procedures.
3. When considering transport of patients considered as non-STAT, who do not
require care from both providers, every reasonable effort is to be made to
turnover patient care to the ambulance provider for transport. Refer to Central
Effective Date: October 2007 Kevin Reynolds, Captain
Current Revision Date: 09/09/2022 Section 202.007
Next Revision (2) Date: 09/09/2025 Page 4 of 5
California Emergency Medic al Services Agency (CCEMSA), Policy No. 543,
Turnover Responsibilities Between Prehospital Units for procedures on transfer
of patient responsibility between agencies.
INFORMATION
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DEFINITIONS
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CROSS-REFERENCES
Standard Operating Procedures Manual
Section 208.002, Department Response Procedures
Central California Emergency Medical Services Agency (CCEMS A)
Policy No. 543, Turnover Responsibilities Between Prehospital Units
Effective Date: October 2007 Kevin Reynolds, Captain
Current Revision Date: 09/09/2022 Section 202.007
Next Revision (2) Date: 09/09/2025 Page 5 of 5